Individual
REBEKAH BOURLAND MAYMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1760 E KEN PRATT BLVD STE 105, LONGMONT, CO 80504-5311
(720) 718-5160
Mailing address
366 BLACKHAWK LN, LAFAYETTE, CO 80026-9392
(405) 593-1384
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
59685
CO
Other
Enumeration date
06/03/2011
Last updated
05/24/2022
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